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Request for Analysis
Centre for Protein Research
Department of Biochemistry
University of Otago
PO Box 56, Dunedin 9054
New Zealand
Tel.: 64 3 479 7542
Fax: 64 3 479 7866
Email: [email protected]
_____________________________________________________________________
User details
Name
Address
Phone
Email
Supervisor
Account/Order Number
Sample details and number of samples
Aim of analysis
______________________________________________________________________
Please specify required analysis
(or discuss details with us and we will complete this section for you)
Sample preparation
Protein/peptide
fractionation
Mass spectrometry
Protein digestion
1-DE
MALDI MS
IEF
MALDI MS/MS
2-DE (mini)
LC-MALDI MS
N-term sulfonation
2-DE (large)
2-D LC MALDI MS
Other treatments
1-D LC (peptides)
ESI IT MS/MS
2-D LC (peptides)
LC-ESI IT MS/MS
Other fractionation
Intact mass (MALDI)
Enzyme
Zip Tip purification
Intact mass (ESI)
Sequence tag
Data Analysis
Database search
Other analyses
Edman sequencing
LC-MS data interpretation
Other analyses
Number of aa
De Novo sequencing
______________________________________________________________________________
Signature: By signing the “Request for Analysis” form you have indicated that you have read and
understood the terms stated under “Request for Analysis” on our Web Site and agreed with our terms
and conditions elaborated therein. Note: Students need the signature of their supervisor.
_______________________________________________________________
_
Signature
__________________
Date
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